| NPI | 1700962776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN FLOYD ROBINSON Chief Operating Officer/Director 910-671-4067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 8300185B) |
| Additional Taxonomies | 251S00000X (Licence: NC 8300185H) |
| 251S00000X (Licence: NC 8300185G) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NC 6107010) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |